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May 1924

NEURALGIA OF THE FACEAN ANALYSIS OF SEVEN HUNDRED AND FIFTY-FOUR CASES WITH RELATION TO PAIN AND OTHER SENSORY PHENOMENA BEFORE AND AFTER OPERATION

Author Affiliations

PHILADELPHIA

From the Neurosurgical Service of the University Hospital, Philadelphia.

Arch NeurPsych. 1924;11(5):557-563. doi:10.1001/archneurpsyc.1924.02190350063005
Abstract

In daily contact with patients who suffer from pain in the face and head, one's attention is at once drawn to the extraordinary variety of sensations in this region, assembled under the generic term pain. Much of the surgical literature of trigeminal neuralgia of recent years has to do with matters relating to operative technic. The radical operation on the sensory root, as first proposed by Spiller in 1899, being now universally accepted and its technic perfected, we have turned our attention to other phases of the subject and propose in this contribution to present an analytical review of the sensory phenomena before and after operation. It is not so much our purpose to discuss the anatomic evidence as to present the various clinical syndromes of the material at our disposal. The term "major trigeminal neuralgia" is employed as synonymous with "tic douloureux," "epileptiform neuralgia." It is recognized as a

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